Craig M Chanin MD Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CRAIG M CHANIN MD INC

Doing business as

OakTree Medical Group

Practice address

115 Gibson Rd
Templeton, CA 93465-9510

Phone

(805) 434-6868

NPI assigned

Nov 10, 2020

Last updated

Nov 10, 2020By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Chanin Craig

Title

Ceo

Phone

(805) 434-6868

Specialties & licenses 2

Addresses

Other names 1

• OakTree Medical Group Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Craig Michael Chanin, M.D.

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1831222744
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1972105427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 GIBSON RD",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659510",
            "telephone_number": "805-434-6868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 GIBSON RD",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934659510",
            "telephone_number": "805-434-6868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG M CHANIN MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "CRAIG",
        "authorized_official_first_name": "CHANIN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "805-434-6868"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OakTree Medical Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ceola Corella
• Carson Costa
• Kristi Sue Cottrell, NURSE PRACTITIONER
• Frances Irene Coughlin
• Craig a Beuttler Chiropractic (Family Chiropractic & Wellness)
• Sara Helen Cress, LCSW
• Carianne Nicole Crowe, PA-C
• Whitney Danenhauer, RD
• Robert Almy Danielson, M.D.
• David B. Hammer (ARC Physical Therapy)

• Family Medicine Physician in Templeton, CA
• Providers in Templeton, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.